Abstract

MENDEZ SANCHEZ, Teresita de Jesús; NARANJO FERNANDEZ, Rosa María; PONS CASTRO, Lucy  and  MEJIA CRUZ, Nashelly. Double elevador palsy and its clinical surgical behavior in the City of Havana, Cuba. Rev Cubana Oftalmol [online]. 2009, vol.22, n.2, pp. 59-65. ISSN 1561-3070.

OBJECTIVE: To describe the clinical surgical outcomes of patients with double elevator palsy. METHODS: A retrospective descriptive study of 16 patients, who went to the ophthalmologic pediatric strabismus service at "Ramón Pando Ferrer" Cuban Institute of Ophthalmology from September 2004 to September 2006, was carried out based on the following variables: etiology, ocular motility, lack of Bell´s sign, palpebral pstosis or pseudoptosis, and results of the applied surgical technique. The surgical method was the complete transposition of horizontal recti to upper rectus. RESULTS: There was congenital etiology in all the patients. The whole sample presented with hypotropia in the primary position of the look, with significant restriction of active elevation both in adduction and abduction, rise of chin and lack of Bell´s sign. Pseudoptosis was seen in 62,5% of patients whereas 37,5% showed ptosis. Fourteen patients managed to reach orthotropia and only two remained with hypotropia under 15 prismatic dioptres CONCLUSIONS: Surgical results were satisfactory in most of the patients.

Keywords : Double elevator palsy; hypotropia.

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